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    <title>达康健康服务网_订单填写</title>
    <meta name="Keywords" content="石家庄体检,石家庄体检网,石家庄体检预约,石家庄体检中心,石家庄体检中心网">
    <meta name="Description" content="达康健康服务网是石家庄领先的官方体检预约一站式服务平台，免费提供石家庄公立医院与民营医院的体检预约服务；100%预约成功，预约可享受体检打折优惠，还有专业体检指导，部分医院享受免排队等VIP待遇。专业健康服务，品质保障，为您的健康保驾护航。">
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                var content = "<input type=\"hidden\" name=\"money\" value=\"" + data.Price + "\" /><input type=\"hidden\" name=\"tj_list_id\" value=\"" + data.Id + "\" /><h2 class=\"or_tc_h\">" + data.Name + "</h2>";
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<body>
    <header class="header">
        <a class="fh_btn" href="javascript:;"></a>
        <h2>订单填写</h2>
        <a class="hom_icon" href="/"></a>
    </header>
    <div style="height:50px"></div>

    <form id="order_form">
        <div data-role="tab" data-animate="slide" data-class="cur" class="n_orderbox">
            <div class="tjr_yyxx_div">
                <!--<input type="hidden" name="money" value="" />
                <input type="hidden" name="tj_list_id" value="" />
                <h2 class="or_tc_h">石家庄医科大学附属第一医院体检套餐4（男）</h2>-->
                <div class="user_h">体检人信息<a href="javascript:;"><img width="25" src="Public/mobile/images/user_icon.png" /></a></div>
                <div id="tjr_xx_div_0" class="or_fom">
                    <div class="inputbox">
                        <input placeholder="请输入体检人姓名" name="tjr_name" type="text" />
                        <a data-div_bz="0" class="user_1 cytjr_a" href="javascript:;" data-role='drawer' data-panel="#cytjr_div" data-fixed="right" data-position="fixed" data-handle="#cytjr_btn_close"></a>
                    </div>
                    <div class="inputbox">
                        <input data-limit='{"disabledDates":["2016-10-29","2016-10-31","2016-11-01","2016-11-02","2016-11-03","2016-11-04","2016-11-05","2016-11-07","2016-11-08","2016-11-09","2016-11-10","2016-11-11","2016-11-12","2016-11-14","2016-11-15","2016-11-16","2016-11-17","2016-11-18","2016-11-19","2016-11-21","2016-11-22","2016-11-23","2016-11-24","2016-11-25","2016-11-26","2016-11-28","2016-11-29","2016-11-30","2016-12-01","2016-12-02","2016-12-03","2016-12-05","2016-12-06","2016-12-07","2016-12-08","2016-12-09","2016-12-10","2016-12-12","2016-12-13","2016-12-14","2016-12-15","2016-12-16","2016-12-17","2016-12-19","2016-12-20","2016-12-21","2016-12-22","2016-12-23","2016-12-24","2016-12-26","2016-12-27","2016-12-28","2016-12-29","2016-12-30","2016-12-31","2017-01-02","2017-01-03","2017-01-04","2017-01-05","2017-01-06","2017-01-07","2017-01-09","2017-01-10","2017-01-11","2017-01-12","2017-01-13","2017-01-14","2017-01-16","2017-01-17","2017-01-18","2017-01-19","2017-01-20","2017-01-21","2017-01-23","2017-01-24","2017-01-25","2017-01-26","2017-01-27","2017-01-28","2017-01-30","2017-01-31","2017-02-01","2017-02-02","2017-02-03","2017-02-04","2017-02-06","2017-02-07","2017-02-08","2017-02-09","2017-02-10"],"opposite":true}' placeholder="请选择体检日期！" name="tj_time" type="text" id="tj_time" /> <i class="rq"></i>
                    </div>
                    <div class="inputbox">
                        <input data-checkfun_msg="请输入正确的手机号码" data-checkfun="check_sj" placeholder="请输入体检人手机" name="tjr_sj" type="tel" />
                        <a class="sjh" href="javascript:;"></a>
                    </div>
                    <div class="inputbox">
                        <input type="hidden" value="0" name="tjr_sfz_lx" />
                        <input data-checkfun_msg="请输入正确的身份证号码" data-checkfun="check_sfz" placeholder="请输入体检人身份证" name="tjr_sfz" type="text" />
                        <a data-role="tab_head" data-toggle="1" data-panel="#div_panel_23920" class="sfz" href="javascript:;">身份证</a>
                        <div class="ord_bg" id="div_panel_23920" style="display: none;">
                            <a data-val="0" class="ord_cur" href="javascript:;"> <i></i>身份证</a>
                            <a data-val="1" href="javascript:;"><i></i>台胞证</a>
                            <a data-val="2" href="javascript:;"><i></i>港澳通行证</a>
                            <a data-val="3" href="javascript:;"><i></i>护照</a>
                            <a data-val="4" href="javascript:;"><i></i>军人证</a>
                        </div>
                    </div>
                    <div class="inputbox">
                        <label>性别</label>
                        <div class="rt">
                            <span class="fl">男</span>
                            <a style="display: none;" data-str="男" data-val="1" class="ord_sex cur_sex" href="javascript:;"></a>
                            <a data-str="女" data-val="0" class="ord_sex" href="javascript:;"></a>
                            <input type="hidden" name="tjr_xb" value="1" />
                        </div>
                        <div class="clear"></div>
                    </div>
                    <div class="inputbox">
                        <label>婚否</label>
                        <div class="rt">
                            <span class="fl">已婚</span>
                            <a style="display: none;" data-str="已婚" data-val="1" class="ord_sex cur_sex" href="javascript:;"></a>
                            <a data-str="未婚" data-val="0" class="ord_sex" href="javascript:;"></a>
                            <input type="hidden" name="tjr_hf" value="1" />
                        </div>
                        <div class="clear"></div>
                    </div>
                    <div class="ord_picbox">
                        <label>￥880.00</label>
                        <a data-role="tab_head" data-toggle="1" data-panel="#div2_panel_23920" class="sfz" href="javascript:;">在线支付</a>
                        <div class="clear"></div>
                        <div class="pay_bg" id="div2_panel_23920">
                            <div class="arrow-up"></div>
                            <a data-val="2" href="javascript:;" class="ord_cur"><i></i>在线支付</a>
                        </div>
                        <input type="hidden" data-price="880.00" name="tj_zffs" value="2" />
                    </div>
                </div>
            </div>


            <div>
                <a data-role='drawer' data-panel="#use_yhq_div" data-fixed="right" data-handle="#use_yhq_btn_close" data-position="fixed" id="use_yhq_a" class="ord_btn" href="javascript:;">
                    优惠券<i>0张优惠券</i> <em class="rt">未使用</em>
                </a>
                <div id="use_yhq_div" class="bgtbox">
                    <div class="close_tcc_div"><a id="use_yhq_btn_close" href="javascript:;"></a><span>选择优惠券</span></div>
                    <div class="yhq_contbox" style="overflow: auto;">
                        <ul id="use_yhq_ul" class="yhq_tab">
                            <li><a class="cur" href="javascript:;">可用</a></li>
                            <li><a href="javascript:;">不可用</a></li>
                        </ul>
                        <div>
                        </div>
                        <div style="display: none;">
                        </div>
                    </div>
                </div>

            </div>
            <!--登陆后现金券样式-->

            <div class="yyr_box">
                <p class="tit_p">预约人信息</p>
                <div class="reg_inputbox">
                    <div style="position: relative;overflow: hidden;">
                        <input style="text-indent:75px" placeholder="手机号码用于接收预约短信" type="text" name="ydrMob" id="ydrMob" />
                        <span class="yyr_sj">手机号码</span>
                    </div>
                    <div class="clear"></div>
                    <textarea class="ord_text" id="ydrBz" name="ydrBz" placeholder="订单备注（选填）"></textarea>

                </div>
            </div>
        </div>

        <div class="ord_tjbtnbox">
            <div style="display: none;" class="ord_pic">
                <span class="fl">订单总额</span>
                <span class="rt_pic">￥<span data-je="880" id="ddzy_s">880.00</span></span>
            </div>
            <div style="display: none;" class="ord_pic">
                <span class="fl">使用优惠券</span>
                <span class="rt_pic">-<span id="syyhq_s">0.00</span></span>
                <span class="fl">红包返现</span>
                <span class="rt_pic">-<span data-je="0" id="hbfx_s">0.00</span></span>
                <span class="fl">中康E卡/金卡</span>
                <span class="rt_pic">-<span id="sytjk_s">0.00</span></span>
            </div>
            <div style="display: none;" class="ord_pic">
                <span class="fl">到院应付</span>
                <span data-je="0" id="dyyf_s" class="rt_pic">0.00</span>
                <span class="fl">在线应付</span>
                <span data-old_zxje="880.00" data-je="0.00" id="zxyf_s" class="rt_pic">880.00</span>
            </div>
            <a class="fl_pic" href="javascript:;">
                在线实付：<em>￥<span id="zxsf_span">0</span></em>&nbsp;
                <img src="Public/mobile/images/zsk_xiala.png">
            </a>
            <a id="btn_submit_order" class="btn" href="javascript:;">提交订单</a>
        </div>

        <input type="hidden" value="1" id="if_login" name="if_login" />
        <input type="hidden" value="0" id="if_submit" name="if_submit" />
        <input type="hidden" id="sy_yhq_qh" name="sy_yhq_qh" />
        <input type="hidden" id="hide_ut_id" name="hide_ut_id" value="7" />
        <input type="hidden" id="hide_cb_id" name="hide_cb_id" value="23920" />
        <input type="hidden" id="hide_buy_type" name="hide_buy_type" value="2" />
        <input type="hidden" id="hide_dd_zje" name="hide_dd_zje" value="880" />
        <input type="hidden" id="hide_g_id" name="hide_g_id" value="" />
        <input type="hidden" id="hide_tj_card_id" name="hide_tj_card_id" value="0" />
        <input type="hidden" id="hide_use_tj_card_fee" name="hide_use_tj_card_fee" value="0" />

        <input type="hidden" name="has_jy_combo" id="has_jy_combo" value="0" />
        <input type="hidden" value="0" name="sheng_id" id="sheng_id" />
        <input type="hidden" value="0" name="shi_id" id="shi_id" />
        <input type="hidden" value="0" name="xian_id" id="xian_id" />
        <input type="hidden" value="" name="bgt_addr" id="bgt_addr" />
        <input type="hidden" value="" name="full_area_name" id="full_area_name" />


    </form>

    <!-- 常用体检人 -->
    <div id="cytjr_div" class="bgtbox">
        <div class="close_tcc_div"><a id="cytjr_btn_close" class="fh_btn1" href="javascript:;"></a><span>常用体检人</span></div>
        <ul class="tjr-list">
            <li><a data-name="" data-tjrsfz="" data-tjrsex="1" data-ydrmob="18811742118" href="javascript:;"><i>本人</i></a></li>
        </ul>
    </div>

    <!-- 收货地址 -->
    <div class="h50"></div>

    <script type="text/javascript">
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        var __appId = "";			        // 必填，公众号的唯一标识
        var __timestamp = ""; 	// 必填，生成签名的时间戳
        var __nonceStr = ""; 		// 必填，生成签名的随机串
        var __signature = "";	// 必填，签名，见附录1
        var __public = '/Public';
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        var __indexUrl__ = "/";//默认的首页地址,即当返回到顶层时的地址
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